How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $1,047.13 Median $1,698.24 Typical High $2,398.83 | Facility | None | $1,047.13 | $1,698.24 | $2,398.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $371.54 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $165.96 Typical High $165.96 | Professional | 26 · Professional part | $87.10 | $165.96 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $436.52 Typical High $436.52 | Professional | TC · Technical part | $281.84 | $436.52 | $436.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $851.14 Median $1,258.93 Typical High $1,621.81 | Facility | None | $851.14 | $1,258.93 | $1,621.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $354.81 Median $660.69 Typical High $1,174.90 | Professional | None (both parts) | $354.81 | $660.69 | $1,174.90 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $141.25 Typical High $199.53 | Professional | 26 · Professional part | $74.13 | $141.25 | $199.53 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $524.81 Median $954.99 Typical High $1,778.28 | Professional | 50 · Both sides | $524.81 | $954.99 | $1,778.28 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $501.19 Typical High $1,000.00 | Professional | TC · Technical part | $275.42 | $501.19 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $812.83 Typical High $1,023.29 | Facility | None | $489.78 | $812.83 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $724.44 Typical High $1,071.52 | Professional | None (both parts) | $489.78 | $724.44 | $1,071.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $100.00 Typical High $154.88 | Professional | 26 · Professional part | $70.79 | $100.00 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $630.96 Typical High $891.25 | Professional | TC · Technical part | $389.05 | $630.96 | $891.25 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $467.74 Median $616.60 Typical High $812.83 | Professional | None (both parts) | $467.74 | $616.60 | $812.83 |
United Setting Professional Modifier None (both parts) Typical Low $346.74 Median $630.96 Typical High $1,513.56 | Professional | None (both parts) | $346.74 | $630.96 | $1,513.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $114.82 Typical High $331.13 | Professional | 26 · Professional part | $70.79 | $114.82 | $331.13 |
United Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $478.63 Typical High $1,318.26 | Professional | TC · Technical part | $275.42 | $478.63 | $1,318.26 |
3 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $186.21 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $186.21 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $74.13 | $120.23 | $120.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $295.12 Median $478.63 Typical High $478.63 | Professional | FX · Film X-ray | $295.12 | $478.63 | $478.63 |
Where Connecticut sits
The same service costs 5.4 times more in Wyoming than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Connecticut· 13th of 51
$646
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.